Lab: Respiratory System Flashcards
Two pairs of vocal folds are found in the larynx. Which pair are the true vocal cords (superior or inferior)?
Inferior vocal
forms the Adam’s apple
thyroid cartilage
a “lid” for the larynx
epiglottis
shaped like a ring
cricoid cartilage
vocal cord attachment
arytenoid cartilage
Why is it important that the human trachea is reinforced with cartilaginous rings?
To maintain its open passageway regardless of the pressure changes that occur during breathing (keeps it from collapsing like the esophagus does)
Why is it important that the rings are incomplete posteriorly?
Allows the esophagus to expand anteriorly when a large food bolus is swallowed
Name the functions of the nasal conchae:
increase air turbulence; warm, moisten and filter air
Which main bronchi more commonly traps a foreign object that has entered the respiratory passageways?
Right
Which main bronchi is longer?
Left
Which main bronchi is larger in larger in diameter?
Right
Which main bronchi is more horizontal?
Left
What are the conducting zone structures
Nostrils - Nasal vestibule - nasal cavity - posterior nasal aperture - nasopharynx - oropharynx - laryngopharynx - larynx - trachea - primary bronchi - secondary bronchi - tertiary bronchi - bronchioles - terminal bronchioles
Respiratory Zone Structures
respiratory bronchioles - alveolar ducts - alveolar sacs - alveoli - respiratory membrane
Connects the larynx to the main bronchi
Trachea
Includes terminal and respiratory as subtypes
Bronchiole
Food passageway posterior to the trachea
Esophagus
Cover’s the glottis during swallowing of food
Epiglottis
Contains the vocal cords
Larynx
Nerve that activates the diaphragm during inspiration
Phrenic nerve
Pleural layer lining the walls of the thorax
Parietal pleura
Site from which oxygen enters the pulmonary blood
Alveolus
Connects the middle ear to the nasopharynx
Pharyngotympanic tube
Contains opening between the vocal folds
Glottis
Increases air turbulence in the nasal cavity
Conchae
Separates the oral cavity from the nasal cavity
Palate
What portions of the respiratory system are referred to as anatomical dead space? Why?
The conducting zone structures; all respiratory passageways
Why are portions of the respiratory system considered anatomical dead space?
No gas exchange occurs
Define external respiration
The gas exchange between the blood and the air-filled chambers of the lungs
Define internal respiration
Exchange of gases between systemic blood and interstitium (oxygen unloading/carbon dioxide loading)
Cellular respiration
Oxygen enters the cell from interstitium and carbon dioxide exits the cell to enter the interstitium
Under what internal conditions does air tend to flow into the lungs?
Increase in thoracic volume decrease in peressure
Under what internal conditions does air tend to flow out of the lungs? Explain why?
Decrease in thoracic volume, increase in pressure. Gases move in the direction that tends to equalize pressure inside and outside the “container”.
What effect does contraction of the diaphragm and intercostal muscles have on thoracic volume, and how is this accomplished?
Thoracic Volume Increases. The diaphragm moves inferiorly, increasing the superior/inferior dimension; the ribs swing up and out, increasing the lateral and anterior and posterior dimensions
What temporary physiologic advantage is created by the substantial increase in chest circumference during forced inspiration?
Increases the thoracic volume more; creates a greater negative internal pressure; causing the gases to rush in quickly; more fresh air reaches the alveoli
The presence of a partial vacuum between the pleural membranes is integral to normal breathing movements, what would happen if an opening were made into the chest cavity, as with a puncture wound?
The vacuum would be destroyed causing the lung affected to collapse. To treat this a chest tube is inserted withdrawing the air and the chest is closed.
Which of the respiratory sounds is heard during inspiration and expiration?
Bronchiole
Which is heard primarily during inspiration?
Vesicular
Where did you best hear the vesicular respiratory sounds?
Triangle of auscultation
Volume of air present in the lungs after a forceful expiration?
Residual volume (1200 ml male/1100 ml female)
Volume of air that can be expired forcibly after a normal respiration?
Expiratory reserved (1200 ml/ 700 ml)
Volume of air that is breathed in and out during a normal respiration?
Tidal volume (500 ml/500 ml)
Volume of air that can be inspired forcibly after a normal respiration?
Inspiration reserve (2100 ml/1700 ml)
Volume of air corresponding to TV+IRV+ERV:
Vital capacity (4800 ml/ 3100 ml)
Which respiratory ailments can respiratory volume tests be used to detect?
Chronic bronchitis, emphysema
Where are the neural control centers of respiratory rhythm?
Medulla oblongata and pons
What is Hering-Breuer reflex?
The reflex to prevent the lungs from becoming overstretched
Why does hyperventilation produce apnea?
Hyperventilation washes carbon dioxide out of the blood. Since carbon dioxide is the major chemical stimulus for inspiration, the desire or drive to breathe is decreased.
Why does rebreathing air produce an increased respiratory rate?
Breathing CO2 raises the acidity in the blood and signals a need for more O2
What was the effect for running in place (exercise) on the duration of breath holding?
Decreased
Increase in blood CO2 increase or decrease the respiratory rate and depth?
Increase
Decrease in blood O2 increase or decrease the respiratory rate and depth?
Increase
Increase in blood pH increase or decrease the respiratory rate and depth?
Decrease
Decrease in blood pH increase or decrease the respiratory rate and depth?
Increase
Did it appear the CO2 or O2 had a more marked effect on modifying the respiratory rate?
CO2
Where are sensory receptors sensitive to changes in blood pressure located?
Aortic arch and carotid sinus
Where are sensory receptors sensitive to changes in O2 levels in the blood located?
Aortic bodies in the aortic arch and carotid bodies @ the diffraction of the common carotid artery
What is the primary factor that initiates breathing in a newborn infant?
Increased levels of CO2 in the blood
Define buffer?
A molecule or molecularly system that acts to resist pH changes
What buffer system operates in blood plasma?
Carbonic acid bicarbonate system
Which component of the buffer system resists a drop in pH?
HCO3: bicarbonate
Which resists a rise in pH?
H2CO3: Carbonic acid
What is apnea?
Reduced respiratory rate
Formula of inspiratory capacity
IV= Tidal Volume (i) + Inspiratory Reserve Volume
Formula of expiratory capacity
IV= Tidal Volume (e) + Expiratory Reserve Volume
Formula of functional residual capacity?
Expiratory Reserve Volume + Residual Volume
Formula of vital capacity
Tidal Volume + Inspiratory Reserve Volume + Expiratory Reserve Volume
Formula of total capacity
Tidal Volume + Inspiratory Reserve Volume + Expiratory Reserve Volume + Residual Volume
Activation of what muscles beings the inspiration process?
the diaphragm and the external intercostal
Trace a molecule of oxygen from the nostrils to the pulmonary capillaries of the lungs (20 steps)
- External Nares 2. Nasal vestibule 3. Nasal cavity 4. posterior nasal aperture 5. nasopharynx 6. oropharynx 7. laryngopharynx 8. larynx 9. trachea 10. primary bronchi 11. secondary bronchi 12. tertiary bronchi 13. bronchioles 14. terminal bronchioles 15. respiratory bronchioles 16. alveolar ducts - 17. alveolar sacs 18. alveoli 19. respiratory membrane 20. pulmonary capillary blood
A
Nasopharynx
B
Oropharynx
C
Laryngopharynx
1
Sphenoid Sinus
2
Posterior Nasal Aperture
3
Pharyngeal tonsil
4
Tubal Tonsil
5
Opening of the pharyngotympanic tube
6
Uvula
7
Palatine Tonsil
8
Isthmus of fauces
9
Esophagus
10
Trachea
11
Frontal Sinus
12
Nasal Cavity
13
Nasal Conchae
14
Nasal Vestibule
15
Nostril or Nares
16
Hard Palate
17
Nasal Meatuses
18
Soft Palate
19
Tongue
20
Lingual Tonsil
21
Hyoid Bone
22
Larynx
23
Epiglottis
24
Vestibular fold
25
Thyroid Cartilage
26
Vocal fold
27
Cricoid Cartilage
28
Thyroid Gland
A

A: Trachea
B

B: Superior lobe of left lung
C

C: Carina
D

D: Left primary bronchus
E

E: Secondary (lobar) bronchus
F

F: Tertiaary (segmental) bronchus
G

G: Inferior lobe of the left lung
H

H: Superior lobe of the right lung
I

I: Middle lobe of the right lung
J

J: Inferior lobe of the right lung
A

A: Epiglottis
B

B: Cuneiform cartilage
C

C: Arytenoid Cartilage
D

D: Cricoid cartilage
E

E: Tracheal cartilage
F

F: Hyoid
G

G: Thyroid Cartilage
H

H: Laryngeal prominence (Adam’s Apple)